Study of various technical difficulties encountered during the administration of quicke's needle 22 and 26 for spinal anesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 3
Abstract
Background: Neuraxial blocks, such as spinal and epidural block, are common practice in anesthesia and are widely used for a number of surgical and endoscopic procedures. Aims and Objectives: To Study various technical difficulties encountered during the administration of Quicke's needle 22 and 26 for spinal anesthesia. Methodology: The present study was carried out at Dr. D .Y. Patil Medical College Pimpri, Pune. The study was carried out randomly chosen 150 patients over period of January 2016 - December 2018. The study material were both male (n=75) and Female (n=75), The patients with the written and explained consent; both male and Female equally and randomly allotted to Quicke's needle 22 and 26 for spinal anesthesia. Technical difficulty was considered with respect to no of attempts for successful spinal anesthesia and the appearance of post dural puncture headache (PDPH) was also accessed. The statistical analysis was done by Chi –square test and analyzed by SPSS 19 version software. Result: In our study we have seen that The majorly of the patients were in the age group of 30-35 were 38.66%, followed by 35-40 were 28.00%, 25-30 were 24.66%, 20-25 were 8.66%. The Males and Females were equal in the study i.e. 50% each. The average no. of attempts required for Quicke's needle 22 was 1.69 and for Quicke's needle 26 was 2.28, and hence the no. of attempts for successful Spinal anesthesia were significantly higher in Quicke's needle 26 as compared to Quicke's needle 22 (X2=12.64, df=3,p<0.005). The appearance of PDPH was significantly higher in Quicke's needle 22 as compared to Quicke's needle 26 (X2=14.83, df=1,p<0.001). Conclusion: It can be concluded that Quicke's needle 22 was superior with respect to ease of successful anesthesia as compared to Quicke's needle needle 26 but the PDPH was significantly associated more with Quicke's needle.
Authors and Affiliations
Deepak P Shinde, Shailendra D Chauhan
Keywords
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